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Bu sayfa, 26. Dünya Psikiyatri Kongresi'nde sunulan çalışmanın yapay zekâ desteğiyle hazırlanmış Türkçe özetidir. Çalışmanın sahibi sunan yazarlardır; atıf için orijinal kaynağa başvurun.

EV1361

Mental health and psychosocial support in contemporary conflict settings: a narrative review of lessons learned and implementation gaps

MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT IN CONTEMPORARY CONFLICT SETTINGS: A NARRATIVE REVIEW OF LESSONS LEARNED AND IMPLEMENTATION GAPS

Effective psychosocial support in conflict settings depends on scalable interventions, culturally grounded care, and structures integrated into local systems.

The aim is to review lessons learned and implementation gaps in Mental Health and Psychosocial Support (MHPSS) provision in contemporary conflict settings. A narrative review examined humanitarian reports, policy frameworks, and field evidence from Gaza, Ukraine, and Sudan, guided by the WHO and IASC MHPSS frameworks. Although more than one in five people living in conflict-affected settings have a mental disorder, access to MHPSS is unequal; between 2017 and 2021, only 3% of MHPSS funding reached local organizations. Identified shortcomings included infrastructure collapse; the unsustainability of specialist-centered care at this scale due to workforce shortages; stigma shaped by cultural norms and low mental health literacy; chronic underfunding linked to short, externally determined funding cycles; overlapping mandates and the absence of a unified coordination platform; international actors’ dominance in planning; and the deprioritization of MHPSS in humanitarian response plans. Effective approaches included adaptable service delivery through mobile teams, home visits, and telemedicine; supervised task-shifting; integration into primary care (implementation of the WHO mhGAP in primary care was associated with less stigma); peer groups and safe spaces, particularly for women and children; culturally adapted care grounded in local languages and values; and support for frontline workers. Stigma was highlighted as context-dependent: survival takes priority in Gaza, help-seeking is viewed as a weakness in Ukraine, and help is sought late and often from traditional healers in Sudan. In conclusion, equitable funding, a strengthened workforce, and locally led systems are necessary for sustainable and equitable mental health outcomes.

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